Healthcare Provider Details

I. General information

NPI: 1295897528
Provider Name (Legal Business Name): JOYCE WINIFRED MOBLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14101 E EVANS AVE
AURORA CO
80014-1451
US

IV. Provider business mailing address

PO BOX 2153 DEPT 40339
BIRMINGHAM AL
35287-9387
US

V. Phone/Fax

Practice location:
  • Phone: 303-751-2000
  • Fax:
Mailing address:
  • Phone: 706-271-0100
  • Fax: 706-270-0487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9772
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: